Individual
JAKE MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-1236
Mailing address
230 DONNA LEE DR, HOUMA, LA 70363-7832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.021081
LA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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